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Drawing on extensive company archives, this first complete history of the Blue Cross and Blue Shield system tells the story of America's largest and oldest health care insurer, from its beginnings in the 1930s to the turbulent 1990s. Often regarded as uniquely American because of its grass-roots organization, the Blue Cross and Blue Shield system is a network of independent, locally operated insurance companies whose growth has fluctuated with broader economic, social, and political changes and with the national search for cost-effective health care.

During the late nineteenth and early twentieth centuries, more Americans belonged to fraternal societies than to any other kind of voluntary association, with the possible exception of churches. Despite the stereotypical image of the lodge as the exclusive domain of white men, fraternalism cut across race, class, and gender lines to include women, African Americans, and immigrants. Exploring the history and impact of fraternal societies in the United States, David Beito uncovers the vital importance they had in the social and fiscal lives of millions of American families. Much more than a means of addressing deep-seated cultural, psychological, and gender needs, fraternal societies gave Americans a way to provide themselves with social-welfare services that would otherwise have been inaccessible, Beito argues. In addition to creating vast social and mutual aid networks among the poor and in the working class, they made affordable life and health insurance available to their members and established hospitals, orphanages, and homes for the elderly. Fraternal societies continued their commitment to mutual aid even into the early years of the Great Depression, Beito says, but changing cultural attitudes and the expanding welfare state eventually propelled their decline.

Health maintenance organization - A Health Maintenance Organization (HMO) is a type of Managed Care Organization (MCO) that provides a form of health insurance coverage in the United States that is fulfilled through hospitals, doctors, and other providers with which the HMO has a contract. Unlike traditional indemnity insurance, care provided in an HMO generally follows a set of care guidelines provided through the HMO's network of providers.

Ontario Health Insurance Plan - The Ontario Hospital Insurance Plan (OHIP) is the government-run health plan for the Canadian province of Ontario. More recently it has been referred to as the Ontario Health Insurance Plan, but the official name uses the term Hospital rather than Health due to legal questions related to the coverage of prescription drugs.

Social health insurance - Broadly speaking, health care systems across the world are funded in three different ways: by private contributions, social health insurance contributions or taxes. Social health insurance systems are characterized by the presence of sickness funds which usually receive a proportional contribution of their members' wages.

State Children's Health Insurance Program - The State Childrenâ€™s Health Insurance Program (SCHIP) is a national program in the United States designed for families who earn too much money to qualify for Medicaid, yet cannot afford to buy private insurance. The program was created to address the growing problem of children in the United States without health insurance.

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